Whalio Doctors

NPI 1063922573

Mario H Lobao Goncalves, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Shreveport, LA

Practice location

Address
1541 Kings Hwy, Shreveport, LA 71103-4228
Phone
(318) 626-0000
Mailing address
1541 Kings Hwy Attn: Payor Credentialing, Shreveport, LA 71103-4228

Registered specialties (4)

Sports Medicine (Orthopaedic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 328121 (LA)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 328121 (LA)
Adult Reconstructive Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207XS0114X Licence 328121 (LA)
Orthopaedic Trauma Physician
Allopathic & Osteopathic Physicians Taxonomy 207XX0801X Licence 328121 (LA)

Registry record

NPI
1063922573
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2017
Record last updated
14 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.